New guidance regarding the administration of COVID-19 vaccines has been received from AHCCCS in accordance with CMS.
CMS announced on Monday, March 15, 2021 that it is increasing Medicare rates for administration of COVID-19 vaccinations with dates of service on or after March 15, 2021. AHCCCS' December 1, 2020 state plan amendment #20-031 specifies that "COVID-19 vaccine administration will be paid at 100% of the national Medicare equivalent rates in effect at the time that the service is provided, without any geographic adjustment". Consistent with that authority, the AHCCCS Fee-For-Service Program and AHCCCS Contractors shall reimburse providers the following Medicare-equivalent rates for the COVID-19 vaccine administration fees by dates of service:
COVID-19 Vaccines administered with dates of service through March 14, 2021
- Initial vaccine administration - $16.94
- Second vaccine administration - $28.39
- Single dose vaccine administration - $28.39
COVID-19 Vaccines administered with dates of service on or after March 15, 2021:
- Initial vaccine administration - $40.00
- Second vaccine administration - $40.00
- Single dose vaccine administration - $40.00
AHCCCS will be issuing updated billing guidance and COVID FAQs with additional information.
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